title: [Inappropriate medication use among the aged. Review of the criteria].
abstract: Inappropriate medication use among the aged review of the criteria Several criteria have been developed to assess inappropriate prescribing among individuals aged > or = 65 years. The criteria are classified as explicit (criterion-based) or implicit (judgment-based) and most of them have been validated using consensus methods. The criteria are based on risk-benefit definition of appropriateness; benzodiazepines and anticholinergics being the most often listed inappropriate medications. Many criteria also list inappropriate medication use due to drug-disease or drug-syndrome interactions. Avoiding unnecessary duplication is mentioned in the newest criteria. Fimea's database of medication for the elderly has been developed to support rational geriatric pharmacotherapy in Finnish healthcare. In addition to Fimea's database national evidence-based Current Care Guidelines on geriatric pharmacotherapy are needed.
authors.affiliation: Vantaa V apteekki, ja Helsingin yliopisto, farmasian tiedekunta, sosiaalifarmasian osasto.
authors.forename: Maarit
authors.initials: M
authors.lastname: Dimitrow
authors.forename: Saija
authors.initials: S
authors.lastname: Leikola
authors.forename: Sirkka-Liisa
authors.initials: SL
authors.lastname: Kivelä
authors.forename: Marja
authors.initials: M
authors.lastname: Airaksinen
authors.forename: Sanna
authors.initials: S
authors.lastname: Mykkänen
authors.forename: Juha
authors.initials: J
authors.lastname: Puustinen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019317:Evidence-Based Medicine; D005387:Finland; D005853:Geriatrics / Q000706:statistics & numerical data*; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D018570:Risk Assessment